Atch 4 Finance Institution Reference Sheet 1 page 20 August 2020.pdf
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- Attached to
- Repair Transient Parking Ramp Federal contract opportunity
- Solicitation number
- FA670320B0005
About this file
This document contains a federal solicitation notice for repair work on a transient parking ramp. The Department of the Air Force Reserve Command, 94th Contracting Flight is soliciting firms to repair the Transient Parking Ramp located at Dobbins Air Reserve Base in Georgia. The work includes replacing concrete slabs with cracks full depth doweled joints, installing anchors and mooring points, and designing replacement slabs to support MV-22 and C-17 aircraft. The NAICS code is 237310 and the product service code is Z2BD. The estimated value is between $10-25 million. The solicitation is set aside 100% for small businesses with a size standard of $39.5 million. The solicitation will use an invitation for bid, with a firm-fixed-price contract and a period of performance of 420 calendar days. The bid closing date is September 24, 2020 at 2:00 pm Eastern time, with bid opening anticipated 30 minutes later. Interested parties should monitor beta.SAM.gov for any updates or amendments.
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Text version
Attachment 4 FA670320B0005 20 August 2020
FINANCIAL INSTITUTION REFERENCE SHEET
Instructions to Contractor: Please fill out and return a reference sheet for each financial institution that you have a business account with. This sheet may be sent to the banking institution/s in regards to a determination of contractor responsibility as part of the evaluation for solicitation number
FA670320B0005
TO BE FILLED OUT BY CONTRACTOR:
Company’s Name: ___________________________________________ Point of Contact (POC) Name: _________________________________ POC Phone Number: _________________________________________
INSTITUTION NAME: ______________________________________
POC Name: ________________________________________________ POC Title: _________________________________________________ POC Phone Number: _______________Fax Number: ______________
I give permission for the following information regarding my account(s) at your institution to be released to representatives of the 94th Contracting Flight, Dobbins ARB, GA.
Printed Name/Title Signature/Date
TO BE FILLED OUT BY FINANCIAL INSTITUTION:
Please give amounts as a range – i.e., low four figures, mid six figures, etc.
Average monthly balance in checking: ____________________________ Average monthly balance in savings: _____________________________ Amount of any current loans: ___________________________________ Amount of any lines of credit: __________________________________ Any late payments of NSFs: ____________________________________ How long with this institution: __________________________________ Credit rating with this institution: ________________________________
I verify that the information provided above is current as of _____________________________
Name/Title Signature/Date
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